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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMOD S TOOTLA, MD

Active Sole Proprietor

Specialist · WATERFORD, MI

Registration Details

NPI Number
1841340510
Provider Type
Individual
Gender
Male
NPI Issued
Jan 12, 2007 (19.299813339681 yrs)
Last Updated
Jan 31, 2022
Licenses
AT031237 (MI)
4301031237 (MI)
4301031237 (MI)
Sole Proprietor
Yes

Practice Information

Address
5220 HIGHLAND RD STE 200
WATERFORD, MI, 483271973
Browse MI providers · Browse ZIP 48327
Phone
2483343197
Fax
2483358857
Primary Specialty
Specialist
174400000X
Additional Specialty
Colon & Rectal Surgery
Additional Specialty
Specialist

Other Specialist Providers in WATERFORD, MI

Name Credential NPI
MIGUELANGELO PEREZ CRUET MD 1841287463
SAFIUL HASAN M.D. 1275636433
ERNESTO CARULLA PT 1972715407
MILLICENT HOLMES 1497933295
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.